the effectiveness of educational practice in diabetic foot a view from brazil教育实践的有效性在糖尿病足来自巴西.pdf
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Anselmo et al. Diabetology Metabolic Syndrome 2010, 2:45
/content/2/1/45
R E S E A R C H Open Access
Research
The effectiveness of educational practice in
diabetic foot: a view from Brazil
Maria I Anselmo, Marcia Nery and Maria CR Parisi*
Abstract
Background: The aim of the present study was to evaluate the prevention and self-inspection behavior of diabetic
subjects with foot at ulcer risk, no previous episode, who participated in the routine visits and standardized education
provided by the service and who received prescribed footwear. This evaluation was carried out using a questionnaire
scoring from 0-10 (high scores reflect worse practice compliance).
Results: 60 patients were studied (30 of each sex); mean age was 62 years, mean duration of the disease was 17 years.
As for compliance, 90% showed a total score ≤5, only 8.7% regularly wore the footwear supplied; self foot inspection
65%, 28,3% with additional familiar inspection; creaming 77%; proper washing and drying 88%; proper cutting of toe
nails 83%; no cuticle cutting 83%; routine shoe inspection 77%; no use of pumice stones or similar abrasive 70%; no
barefoot walking 95%.
Conclusion: the planned and multidisciplinary educational approach enabled high compliance of the ulcer
prevention care needed in diabetic patients at risk for complications. In contrast, compliance observed for the use of
footwear provided was extremely low, demonstrating that the issue of its acceptability should be further and carefully
addressed. In countries of such vast dimensions as Brazil multidisciplinary educational approaches can and should be
performed by the services providing care for patients with foot at risk for complications according to the reality of local
scenarios. Furthermore, every educational program should assess the learning, results obtained and
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